Enter Basic Contract Information
Administrative Information
Basic Contract Details
| Vendor Name |
329952
|
| Vendor Number (3____ for AP and 00___ for AR) |
Sienna Martinez
|
| Vendor Contact Name |
Sienna Martinez
|
| Vendor Contact Email |
[email protected]
|
| Contract / Amendment Title |
Contract
|
| Contract / Amendment Amount |
$19,200.00
|
| Is this a new agreement or an amendment to an existing agreement? |
New Agreement
|
| Supplemental Insurance (for Risk team only) |
---
|
Upload Contract Documents
Upload Documents
| Upload Contract or Amendment Authorization Form |
Eden_Contract_AuthorizationForm-_Sienna_Martinez.pdf
|
| Upload Agreement or Amendment |
Basic_Contract_Sienna_Martinez.docx.pdf
|
| Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") |
---
|
| Describe changes to Contract Template, if any (If none, type "None required") |
---
|
| Add any notes you may have for Finance and Risk Review teams. |
---
|
| Add name of RFP / RFQ / RFB, if issued |
None
|
| - or add weblink to RFP / RFQ / RFB, if issued |
None
|
Supplemental Risk Information
General Liability Details
Automobile Policy Details
Workers Comp Policy Details
